摘要
目的:评价新型麻醉药斯康杜尼在老年人牙髓治疗中的麻醉效果。方法:将70例老年患者的70颗患牙,随机分为斯康杜尼组和盐酸利多卡因组,每组各35颗,进行局部黏膜下浸润麻醉,电测牙髓活力并检验麻醉效果。检测麻醉前及麻醉后5min时的血压脉搏值。结果:斯康杜尼组牙髓炎患牙94.29%麻醉完全,与盐酸利多卡因组(74.29%)有显著差别(P<0.01),斯康杜尼组注射后血压和脉搏略有升高(P<0.05)。上颌牙的麻醉效果好于下颌牙。结论:斯康杜尼是一种新型高效的口腔科专用局部麻醉剂,对老年人牙髓炎治疗有满意的镇痛效果。
Objective:To evaluate the clinical effect of Mepivacaine hydrochloride and adrenaline injection on geriatric pulpal anesthesia. Methods:Scandonest and Lidocaine were administered respectively to 35 teeth by local infiltration anesthesia. Pulp vitality of the teeth were tested with electric pulp tester after injection. Monitor patients' blood pressure and pluses before and 5min after injection. Results: 94.29% patients showed satisfactory anesthesia with the injection of Mepivacaine hydrochloride while only 74.29% patients of lidocaine injection group got the satisfactory effect. There have significant difference between the two groups(P<0.01), Patients' blood pressure and pluses have a little bit uprising after Mepivacaine injection(P<0.05). The anesthesia effect in maxillary teeth was better than that in mandibular teeth. (P<0.01). Conslusion: Mepivacaine hydrochloride and adrenaline injection is an efficient and safe local anesthetics for the old patients which could be used to replace block injection and medicament.
出处
《中华老年口腔医学杂志》
2005年第2期78-80,共3页
Chinese Journal of Geriatric Dentistry
关键词
老年人
牙髓炎
盐酸甲哌卡因
盐酸利多卡因
局部浸润麻醉
aged
pulpitis
mepivacaine hydrochloride
lidocaine hydrochlorid
local infiltration anesthesia
